NPI | 1124274899 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 20A15890) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2008018556) |
Enumeration Date | 2008-08-14 |
Last Update Date | 2019-07-05 |